Organization Active NPI

Ontrack Wellness and Recovery Center

  • Peer Specialist
  • Charlotte, NC
National Provider Identifier
1508751025
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
ONTRACK WELLNESS AND RECOVERY CENTER
Practice address
5100 Reagan Dr Ste 13
Charlotte, NC 28206-1390
Phone
(910) 624-6513
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Annie Rasheedah Hasan, ED.DNPI 1003160490
Title
Executive Director
Phone
(910) 624-6513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

5100 Reagan Dr Ste 13
Charlotte, NC 28206-1390

Mailing address

105 Preston Ave
Fayetteville, NC 28301-3455
Phone (910) 624-6513

Other practice location 1

105 Preston Ave
Fayetteville, NC 28301-3455
Phone (910) 624-6513

Other names 1

  • OnTrack Wellness and Recovery Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Ontrack Wellness and Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1508751025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PRESTON AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013455",
            "telephone_number": "910-624-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 REAGAN DR STE 13",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061390",
            "telephone_number": "910-624-6513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Preston Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283013455",
            "country_code": "US",
            "telephone_number": "910-624-6513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONTRACK WELLNESS AND RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "RASHEEDAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-624-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnTrack Wellness and Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.